Mark E Brooks in Richmond - Electrophysiology, Clinical

Mark E Brooks - NPI 1003807819

Mark E Brooks is a Electrophysiology, Clinical in Richmond, Kentucky. Mark E Brooks practices all healthcare services and medical treatments related to Electrophysiology, Clinical. The NPI Number for Mark E Brooks is 1003807819. The last update date is 2023-01-26.

Mark E Brooks's current location address is 116 Meridian Way Ste 9, Richmond, Kentucky. You can contact this provider via phone number 8596263131 and fax number 8596251109. The mailing address for Mark E Brooks is 116 Meridian Way Ste 9, Richmond, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark E Brooks
Address 116 Meridian Way Ste 9, Richmond, Kentucky
Phone Number 8596263131
Fax Number 8596251109
Sole Proprietor N
Credentials PT, DSC, E

NPI Number Detail

NPI Number 1003807819
Provider Enumeration Date 2005-11-01
Last Updated Date 2023-01-26

Provider Mailing Address Detail

Address 116 Meridian Way Ste 9
City Richmond
State Kentucky (KY)
Post Code 404752876
Phone Number 8596263131
Fax Number 8596251109

Provider's Primary Taxonomy Detail

Speciality Electrophysiology, Clinical
Taxonomy 2251E1300X
Licence No 1746
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
215122 KY BC/BS SPTA
310944 KY BC/BS RPTA
60027 KY BC/BS LPTA
333709 KY BC/BS HPTA
611208897 KY BLUEGRASS FAMILY
611208897 KY HUMANA
611208897 KY WORKERS COMP.
87000006 KY --
611208897 KY AETNA
611208897 KY TRICARE

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FAQs about Mark E Brooks

What is the unique identification code assigned to Mark E Brooks by the Centers for Medicare & Medicaid Services?

The Mark E Brooks has been issued the NPI (National Provider Identifier) 1003807819. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark E Brooks is located?

The Mark E Brooks is situated at the following address: 116 Meridian Way Ste 9, Richmond, KY, 404752876.

What is the Mark E Brooks's specialty and taxonomy code?

The Mark E Brooks's specialty is Electrophysiology, Clinical, and the corresponding taxonomy code is 2251E1300X.

When did Mark E Brooks receive its 1003807819 assignment?

The Mark E Brooks was assigned its 1003807819 on 2005-11-01, which is the date when this unique identifier was issued to the organization.

As of what date were the Mark E Brooks's details last updated?

The information pertaining to the Mark E Brooks, including its address, specialty, and other details, was most recently updated on 2023-01-26.

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